Percutaneous coronary intervention after successful fibrinolysis or for patients not undergoing primary reperfusion
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Percutaneous Coronary Intervention Guidelines Microchapters |
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PCI Approaches: |
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CAD Revascularization: |
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Pre-procedural Considerations: |
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Procedural Considerations: |
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Post-Procedural Considerations: |
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Quality and Performance Considerations: |
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Percutaneous coronary intervention after successful fibrinolysis or for patients not undergoing primary reperfusion On the Web |
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American Roentgen Ray Society Images of Percutaneous coronary intervention after successful fibrinolysis or for patients not undergoing primary reperfusion |
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Directions to Hospitals Treating Percutaneous Coronary Intervention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
ACCF/AHA 2011 Guidelines for Percutaneous Coronary Intervention: PCI After Successful Fibrinolysis or for Patients Not Undergoing Primary Reperfusion[1] (DO NOT EDIT)
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"1. In patients whose anatomy is suitable, PCI should be performed when there is objective evidence of recurrent MI. (Level of Evidence: C)" |
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"2. In patients whose anatomy is suitable, PCI should be performed for moderate or severe spontaneous or provocable myocardial ischemia during recovery from STEMI. (Level of Evidence: B)" |
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"3. In patients whose anatomy is suitable, PCI should be performed for cardiogenic shock or hemodynamic instability. (Level of Evidence: B)" |
| Class IIa |
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"1. It is reasonable to perform routine PCI in patients with LV ejection fraction less than or equal to 0.40, heart failure, or serious ventricular arrhythmias. (Level of Evidence: C)" |
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"2. It is reasonable to perform PCI when there is documented clinical heart failure during the acute episode, even though subsequent evaluation shows preserved LV function (LV ejection fraction greater than 0.40). (Level of Evidence: C)" |
| Class IIb |
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"1. PCI might be considered as part of an invasive strategy after fibrinolytic therapy. (Level of Evidence: C)" |
References
- ↑ Kushner FG, Hand M, Smith SC, King SB, Anderson JL, Antman EM, Bailey SR, Bates ER, Blankenship JC, Casey DE, Green LA, Hochman JS, Jacobs AK, Krumholz HM, Morrison DA, Ornato JP, Pearle DL, Peterson ED, Sloan MA, Whitlow PL, Williams DO (2009). "2009 focused updates: ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction (updating the 2004 guideline and 2007 focused update) and ACC/AHA/SCAI guidelines on percutaneous coronary intervention (updating the 2005 guideline and 2007 focused update) a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Journal of the American College of Cardiology. 54 (23): 2205–41. doi:10.1016/j.jacc.2009.10.015. PMID 19942100. Retrieved 2011-12-06. Unknown parameter
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